CHASTAINS INCORPORATED (NPI# 1164573762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164573762 |
| Entity Type | Organization |
| Organization Name | CHASTAINS INCORPORATED |
| Other Organization Name | OWL TRI-STATE PHARMACY |
| Practice Address |
1275 Highland Ave Clarkston WA 99403-2846 |
| Practice Telephone | 5097585533 |
| Practice Fax Number | 5097519545 |
| Mailing Telephone | 5097585533 |
| Mailing Fax Number | 5097519545 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2017-09-11 |
| Authorized Official Name | BRIAN MORGAN AUER (SECRETARY) |
| Authorized Official Telephone | 5097585533 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHAR.CF.00001133 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6173801 | 05 | |
| ID | 8058599 | 05 |
| Other Name | Type Code |
|---|---|
| Owl Tri-State Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245381094 | Chastains Incorporated | Pharmacy | 720 16th Ave Ste 1, Lewiston, ID 83501-3768 | 2007-01-16 |
| 1851452049 | Chastains Incorporated | Durable Medical Equipment & Medical Supplies | 720 16th Ave Ste 3, Lewiston, ID 83501-3768 | 2006-12-12 |
| 1689768145 | Chastains Incorporated | Pharmacy | 720 16th Ave, Suite 2, Lewiston, ID 83501-3768 | 2006-10-02 |
| 1063563815 | Chastains Incorporated | Pharmacist | 2315 8th St, Lewiston, ID 83501-7301 | 2007-01-16 |
| Street Address |
1275 HIGHLAND AVE |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235290065 | Kristen Clarissa Adams | Pharmacist | 1275 Highland Ave, Clarkston, WA 99403-2846 | 2006-12-13 |
| 1932249190 | Michael J Auer | Pharmacist | 1275 Highland Ave, Clarkston, WA 99403-2846 | 2007-02-07 |
| 1811058605 | Kimberly Kaye Merrill | Pharmacist | 1275 Highland Ave, Clarkston, WA 99403-2846 | 2006-12-13 |
| 1679634281 | Lori Jean Jacobs | Pharmacist | 1275 Highland Ave, Clarkston, WA 99403-2846 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225375603 | Zak Pharmacy LLC. | Pharmacy | 4600 E Ponce De Leon Ave Ste E, Clarkston, GA 30021-1839 | 2013-01-06 |
| 1598040271 | Walgreen Co | Pharmacy | 7110 Dixie Hwy., Clarkston, MI 48371 | 2011-10-13 |
| 1144429952 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 5756 Clarkston Rd, Clarkston, MI 48348-4706 | 2007-07-12 |
| 1245300797 | Clarkston Heights Pharmacy | Pharmacy | 2119 5th Ave, Clarkston, WA 99403-1406 | 2006-11-09 |
| 1174625453 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 5529 Sashabaw Rd, Clarkston, MI 48346-3147 | 2006-09-05 |
| 1346352283 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 7091 Dixie Hwy, Clarkston, MI 48346-2076 | 2006-08-31 |
| 1891803268 | Pine Knob Pharmacy #3, Inc. | Pharmacy | 6770 Dixie Highway, Suite 201, Clarkston, MI 48346 | 2006-08-27 |
| 1255449625 | Pine Knob Pharmacy 4 Inc | Pharmacy | 5710 Bella Rosa Blvd, Clarkston, MI 48348-4773 | 2006-08-27 |
| 1811902943 | Walgreen Co | Pharmacy | 7110 Dixie Hwy, Clarkston, MI 48346-2014 | 2006-07-29 |
| 1679509251 | U.n. Pharmcay | Pharmacy | 3652 Market St, Unit C-1, Clarkston, GA 30021-1298 | 2006-06-24 |
| Find all providers in CLARKSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.